VSA Membership Form 2022-2023
If you're here, you're one step away from becoming part of our family! Make sure to fill out this form to the best of your ability. We look forward to hearing back from your response!

Membership dues for the Spring are $25 with a shirt included (while supplies last) or $15 with no shirt to @UTD-VSA on Venmo OR @346-401-8173 on Zelle. ***Please include your name in the description if you are using Venmo and make sure that your Zelle name matches the name that you are putting on the membership form*** NO REFUNDS ***

Please make sure to pay your dues so that we are able to validate your membership, as well as put you into a family.

This year's theme is: Pokémon
There will also be a question section that will grant you your Pokémon types!

* Disclaimer: late registration in the spring semester does NOT guarantee a membership shirt (if you paid for a shirt and supplies ran out, you will be refunded that portion) *
Email *
Name *
Pronouns? *
Year *
What's your major? *
Are you a new or returning member? *
How did you hear about VSA? *
What school do you attend? *
What's your Facebook? (link preferred; if you do not have a Facebook, please provide your Instagram handle) *
What's your preferred method of contact? Keep in mind that this is how we will contact you regarding which fam you're placed in! *
Required
Please provide the phone number and/or social media handles based on what you selected above: *
What's your shirt size? *
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